A dynamic Brugada sign due to left anterior descending coronary artery occlusion

Vickram Vignesh Rangaswamy; Aparna Velmurugan; Akshay Balaji; S Balaji

doi:10.1016/j.ipej.2022.09.003

A dynamic Brugada sign due to left anterior descending coronary artery occlusion

Indian Pacing Electrophysiol J. 2022 Nov-Dec;22(6):291-294. doi: 10.1016/j.ipej.2022.09.003. Epub 2022 Oct 1.

Authors

Vickram Vignesh Rangaswamy¹, Aparna Velmurugan², Akshay Balaji², S Balaji²

Affiliations

¹ Department of Cardiology, Sri Ramakrishna Hospital, Coimbatore, India. Electronic address: vickramvignesh@gmail.com.
² Department of Cardiology, Sri Ramakrishna Hospital, Coimbatore, India.

Abstract

Brugada phenocopies (BrP) include several conditions with a common electrocardiographic (ECG) pattern that are indistinguishable from classical Brugada syndrome (BrS). In this report, we describe two cases of acute myocardial infarction (AMI) presenting as BrP. The majority of cases of BrP in AMI have been reported due to right coronary artery (RCA) occlusion. Rarely, the left anterior descending artery (LAD) is incriminated as the cause. In both our cases of BrP, LAD was the culprit vessel.

Keywords: Acute coronary syndrome; Acute myocardial infarction; Brugada phenocopy; Brugada sign; Brugada syndrome.

Publication types

Case Reports